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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VASANA LERDVORATAVEE O.D.
NPI 1356332423
Optometrist - Vision Therapy in Montgomery, IL

Active since October 28, 2005PECOS Enrolled
1335 DOUGLAS RD, SUITE E, MONTGOMERY, IL 60538(630) 844-0908(630) 844-0677 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Vasana Lerdvoratavee O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VASANA LERDVORATAVEE O.D. (NPI 1356332423) is an individual vision therapy provider in Montgomery, Illinois and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1994).

NPPES Registry Identity

NPI1356332423
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. VASANA LERDVORATAVEECredential: O.D.
Location Address1335 DOUGLAS RD, SUITE EMontgomery, IL 60538-1634
Mailing Address1335 Douglas Rd, Suite EMontgomery, IL 60538-1634 · (630) 844-0908 · Fax (630) 844-0677
Phone(630) 844-0908
Fax(630) 844-0677
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1994
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1356332423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
1335 DOUGLAS RD, Montgomery, IL 60538
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vasana Lerdvoratavee O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183714629
PECOS Enrollment IDI20101213000353
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT EYE CARE LTD.
Optometrist
1335 DOUGLAS RD, SUITE E
MONTGOMERY, IL 60538
Kane County (630) 844-0908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vasana Lerdvoratavee's NPI number?

The NPI number for Vasana Lerdvoratavee is 1356332423. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Vasana Lerdvoratavee located?

Vasana Lerdvoratavee practices at 1335 Douglas Rd Suite E, Montgomery, IL 60538. The listed phone number is (630) 844-0908.

What is Vasana Lerdvoratavee's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Vasana Lerdvoratavee enrolled in Medicare?

Yes. Vasana Lerdvoratavee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vasana Lerdvoratavee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Vasana Lerdvoratavee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vasana Lerdvoratavee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.